A five-year-old child presents with repeated sinus infections due toHemophilus influenzae and

Streptococcus pneumoniae. On physical exam, the child appeared to have scoliosis and was not
well developed for his age

He also appeared to have an inflammatory skin condition.
Laboratory results were as follows. What is the most likely diagnosis?
Complete blood count—red cells, white cells and platelets within normal limits
WBC differential—50% neutrophils, 30% lymphocytes, 15% eosinophils, 5% monocytes
Serum protein electrophoresis—within normal limits
Urinalysis—within normal limits
serum IgG—within normal limits
serum IgA—within normal limits
serum IgM—within normal limits
serum IgE —100 times the upper limit of normal
A) DiGeorge syndrome
B) Bruton's agammaglobulinemia
C) Job's syndrome
D) Chronic granulomatous disease
E) Severe combined immunodeficiency disorder


C

Health & Biomechanics

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